Title: Changing Trend in the Prevalence of Tuberculosis among the Population of Visakhapatnam District, Andhra Pradesh

Authors: Vasundhara N, Kodandarao Kuna, Tirupathirao S, Padmanabham Y, Rameshbabu B.

 DOI: https://dx.doi.org/10.18535/jmscr/v6i11.144

Abstract

Background and Introduction: Tuberculosis burden continuous to be high even today despite the wide spread network of control measures started since 1962 with NTC. WHO sets the target of reducing the prevalence rate to ten per one lakh population.  For the past few decades, MDR-TB has been a serious concern. 

Aims and Objectives:  In the present study, the aim is to study the prevalence rate among the population of Visakhapatnam District in Andhra Pradesh to compare it with the global trend and aim to reach the goal of END TB by 2025 of India’s goal.

Material and Methods: The data for the present study is obtained with permission from the District Tuberculous Control Officer, Pedawaltair, Visakhapatnam, Andhra Pradesh.  Total of 67,017 pooled case data, both old and new, from 2007 to Aug 2018 is gathered for the study to calculate prevalence rate among the population.  The data is analysed on excel sheet and IBM SPSS software statistics is applied where-ever necessary.  The prevalence rate is calculated using the Bio-Statistics formula by adding old cases to new cases divided by population at risk multiplied by one lakh.

Results and Discussion: The calculated prevalence rate of TB among the population of 42 – 47 lakh of Visakhapatnam District is variable with fluctuations giving the SEA-SAW shape in the graph and maintains a plateau when compared to the global trend of gradual fall by 20% reduction.  Yet the prevalence rate of Visakhapatnam study by the present author and its team is lesser than that of global.

Conclusions: With the fast and extensive ramification of Gene-Xpert machines to diagnose TB and resistance, more number of cases can be diagnosed and plan the control measures to check TB by involving all possible organisations like the NGOs, TBAs, local leaders, traditional healers in remote areas, extensive utilisation of social media and by providing balanced nutrition with the help of the Anganwadi staff. 

Keywords:  GLOBAL, POPULATION, PREVALENCE, TB, WHO.

References

  1. WHO 2016, the shorter MDR-TB regimen, May – 2016.
  2. GOI 2016 – RNTCP guidelines of MOH 2016.
  3. PARK’S text book of preventive and social medicine – 24th edition, 2017, page 65-67, 185-215.
  4. Fundamentals of epidemiology and biostatistics by Shyam sundar deepthi – 1st edition 2015, page – 14.
  5. Mahajan’s methods in bio statistics – 9th edition 2018 – page 324 – 325.
  6. Madhukar pai, Souma deep Bhaumik - BMJ Global health, 20th March 2017,2 : e000326.
  7. World Helath Organization. Global Tuberculosis Report 2016. Geneva: WHO, 2016:1-192.
  8. Uplekar M, Weil D, Lonnroth K, et al. WHO’s new and TB strategy, Lancet 2015;385:1799-801.
  9. Central TB Division; Ministry of Health & Family Welfare; Government of India. National Strategic Plan for tuberculosis Elimination 2017-2025 (draft). In : Program RNTC, New Delhi, India: RNTCP, 2017. Http://tbcindia.gov.in/WriteReadData/NSP%20Draft1%2020.02.2017%201.pdf (accessed 27 Feb 2017).
  10. Pai M. Arinaminpathy N. How can india overcome tuberculosis ?the BMJ Blogs. London, IK: The BMJ, 2016.
  11. Chavan D. Fighting TB requires empowered patients. BMJ 2017;356:i6344.
  12. WHO global TB report 2017 – WHO – stop TB partnership – 2017.

Corresponding Author

Dr Kodandarao Kuna

Flat No. 401, Orchid’s Apartment, Pandurangapuram – 530003, India

Contact No. 70950 17766, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.